Individual provider Active NPI

Yelena Tumasyan, P.A.

  • Physician Assistant
  • Pasadena, CA
National Provider Identifier
1427592476
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
53709 Issued in CA
Practice address
2595 E Washington Blvd Ste 106
Pasadena, CA 91107-1409
Phone
(310) 878-0964
NPI assigned
Dec 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 53709 CA Primary

Addresses

Primary practice location

2595 E Washington Blvd Ste 106
Pasadena, CA 91107-1409

Mailing address

4252 Fair Ave Unit 11
North Hollywood, CA 91602-3069
Phone (516) 603-1047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191231001142 CA Practitioner - Physician Assistant 0042644916 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
020095NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care Community Health Center, Inc CurrentSince Oct 13, 2022 Accepting new patients
Complete Care Community Health Center, Inc CurrentSince Oct 13, 2022 Accepting new patients
Carbon Health Primary Care of California PC PastSince Jul 20, 2025 Accepting new patients

Locations

2928 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 266-6700

3000 S Robertson Blvd
Ste 280
Los Angeles, CA 90034

2595 E Washington Blvd
Ste 106
Pasadena, CA 91107
Phone (626) 794-8133

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: yelena.tumasyan.p1@direct.ccchcenter.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1427592476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4252 FAIR AVE UNIT 11",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916023069",
            "telephone_number": "516-603-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 E WASHINGTON BLVD STE 106",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071409",
            "telephone_number": "310-878-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMASYAN",
        "first_name": "YELENA",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-09",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.